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- W262986040 abstract "This chapter highlights cerebral vascular disease and the effects of atherosclerosis and hypertension, which often lead to disability and death. Subarachnoid hemorrhage is often caused by aneurysm, and there is a major risk of a further attack. Patients with aneurysm or cerebral vascular disease should be advised to stop smoking on the grounds that it is a significant aggravating factor. Systemic diseases may involve cerebral blood vessels, and, although uncommon, their recognition is important in relation to medical treatment. The prognosis without surgical treatment is better than for aneurysm and recurrent hemorrhage milder. Hypertension is a main factor in cerebrovascular disease, and it is rational to control it when the diastolic pressure exceeds 100 mm. The risks of reducing the blood pressure have been exaggerated in the past. The possibility of a treatable cause will lead to consideration of renal disease, endocrine disease, or coarctation of the aorta. Enthusiasm for surgical treatment has not led to general acceptance of its advantages. Therefore, it is advised to go for surgical treatment for isolated carotid stenosis when the patient is in good clinical condition. In other circumstances, an antiplatelet regimen is used while awaiting the results of drug trials that are in progress. Antiplatelet regimens are unlikely to affect cholesterol emboli. When there is no response to an antiplatelet regimen, anticoagulant therapy should be considered." @default.
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- W262986040 date "1985-01-01" @default.
- W262986040 modified "2023-10-16" @default.
- W262986040 title "Cerebral vascular disease" @default.
- W262986040 doi "https://doi.org/10.1016/b978-0-407-00310-1.50016-6" @default.
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